Individual
SHANELA SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3366 KINGSVIEW CIR, MACON, GA 31211-7921
(478) 737-6702
Mailing address
3366 KINGSVIEW CIR, MACON, GA 31211-7921
(478) 737-6702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN295360
GA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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